Swelling of the face due to toothache in children may be caused by diseases such as apical periodontitis, acute alveolar abscess, etc. General measures, medication, and surgical treatments need to be taken for the specific causes to reduce the swelling.
1. Apical periodontitis: the symptoms of this disease are swollen gums, tooth pain, fatigue, etc., and in severe cases, facial swelling will occur. If the child’s toothache, facial swelling symptoms are obvious, you need to follow the doctor’s instructions to use ibuprofen, acetaminophen and other pain relievers, and then the joint use of antibiotics, such as metronidazole, ceftriaxone and so on. If it is in the acute suppurative stage, incision and drainage will be required.
Secondly, root canal treatment is also needed. If the result is unsatisfactory, microscopic apical surgery can be considered, such as apical curettage and apicoectomy.
2. Acute alveolar abscess: Some children with severe conditions may have toothache and swelling of the face. In the acute stage, children need to follow the doctor’s instructions to use antibiotics, such as metronidazole, tinidazole, etc., as well as aspirin, acetaminophen and other non-steroidal anti-inflammatory drugs. Root canals are used when symptoms subside, and tooth extraction is used if treatment fails.
When a child’s toothache leads to a swollen face, he or she should go to the hospital in time for standardized treatment under the guidance of a doctor.